Provider Demographics
NPI:1730662073
Name:BEAIRD, AMIRA JOY (MBA)
Entity Type:Individual
Prefix:
First Name:AMIRA
Middle Name:JOY
Last Name:BEAIRD
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 LINBAR DR STE 103
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8207
Mailing Address - Country:US
Mailing Address - Phone:615-610-2618
Mailing Address - Fax:
Practice Address - Street 1:5100 LINBAR DR STE 103
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8207
Practice Address - Country:US
Practice Address - Phone:615-610-2618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care